Can Surgery Remove Nasal Polyps or Not ?


Yes, they can but chronic Rhinosinusitis with Nasal polyps is an often severe persistent airway disease, which in Europe and the US is mainly characterized by a type-2 inflammatory reaction. In spite of current treatment recommendations such as topical GCS twice daily, recurrences after oral GCS or surgeries are frequently observed. About one-third of the patients with nasal polyp are considered control failures with the current treatment options. This indicates a clear unmet need to search for other treatment possibilities, which need to be structured in adequate diagnosis and treatment care pathways.

It is possible that better surgical techniques such as the “reboot technique”, aiming to remove all inflamed mucosa of the sinuses, but leaving nasal mucosa untouched, would change this situation.The nasal epithelium covers the sinuses after just 4-6 weeks and forms a smooth ciliated epithelial barrier with goblet cells.

 


No additional complications have been observed with this technique in comparison to the current standard, but significantly reduced recurrence rates could be demonstrated over 30 months post-operatively.  However, this technique is time demanding and asks special skills from the surgeon, and it has not found broad acceptance yet. Furthermore, type 2 inflammatory nasal polyps are frequently characterized by asthma comorbidity, which will not be controlled by surgery.

Read more :  Simple Method to Cure Nasal Polyps  Naturally at Home

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How to Cure Nose Polyps Naturally at Home ?

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Nose polyposis remains one of the most challenging and recalcitrant diseases in clinical rhinology because of its complex etiology and predisposition to recurrence. However, it is well established that eotaxin and RANTES are central to tissue eosinophilia during nasal polyp formation .  Recent Study Based on the definition in European Position Paper on Rhinosinusitis and Nose Polyps (EPOS) 2007 , patients with recent diagnosis of Nose Polyps undergoing elective endoscopic sinus surgery at our hospital were recruited. Patients with malignancies or asthma were excluded from the study. All patients were asked to stop antiinflammatory medications, including antibiotics and topical steroids, for at least 2 weeks prior to admission. The tissues were isolated from the polyps of  Nose Polyps patients during the operations.  The scientists have previously shown that the serum level of 25-hydroxyvitamin D (25OHD), the major circulating form of vitamin D, in Nose Polyps patients w...
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What Are Causes of Nasal Polyps ?

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The pathogenesis of nasal polyposis is unknown. Polyp development has been linked to chronic inflammation, autonomic nervous system dysfunction, and genetic predisposition. Most theories consider polyps to be the ultimate manifestation of chronic inflammation; therefore, conditions leading to chronic inflammation in the nasal cavity can lead to nasal polyps. The following conditions are associated with multiple benign polyps:  -Bronchial asthma - In 20-50% of patients with polyps -CF - Polyps in 6-44% of patients with CF [1] -Allergic rhinitis -AFS - Polyps in 85% of patients with AFS -Chronic rhinosinusitis -Primary ciliary dyskinesia -Aspirin intolerance - In 8-26% of patients with polyps -Alcohol intolerance - In 50% of patients with nasal polyps -Churg-Strauss syndrome - Nasal polyps in 50% of patients with Churg-Strauss syndrome -Young syndrome (ie, chronic sinusitis, nasal polyposis, azoospermia) -Nonallergic rhinitis with eosinophilia syndrome (NARES) - Nasal polyps in 20% o...
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